Health Insurance (Pathologist-determinable Services) Determination 2005 (Cth)

Health Insurance (Pathologist-determinable Services) Determination 2005

I, TONY ABBOTT, Minister for Health and Ageing, make this Determination under section 4BA of the Health Insurance Act 1973.

Dated 5 April 2005

TONY ABBOTT

Minister for Health and Ageing

1. Name of Determination

This Determination is the Health Insurance (Pathologist-determinable Services) Determination 2005.

1. Commencement

This Determination commences on 1 May 2005.

1. Revocation of previous Determination

The Health Insurance (Pathologist-determinable Services) Determination 2003 made under section 4BA of the Health Insurance Act 1973 on 10 September 2003 is revoked.

1. Interpretation

(1)   In this Determination:

Act means the Health Insurance Act 1973.

Regulations means the Health Insurance Regulations 1975.

(2)   Unless the contrary intention appears, an expression that is used in this Determination and in the Act or the Regulations has the same meaning in this Determination as it has in the Act or the Regulations.

1. Pathologist-determinable services

For paragraph 4BA (b) of the Act, the following classes of pathology services are pathologist-determinable services:

(a)    a pathology service that:

(i)    is mentioned in an item in the pathology services table; and

(ii)    is rendered, by or on behalf of, an approved pathology practitioner to a patient of that practitioner;

(b)    a pathology service that:

(i)    is rendered, by or on behalf of, an approved pathology practitioner; and

(ii)    the approved pathology practitioner considers to be necessary, on the basis of information learned from another service:

(A)     that was rendered to the patient by that practitioner; and

(B)     the request for which complied with paragraph 16A (4) (a) or (b) of the Act; and

(iii)    is an item in the pathology services table that is mentioned in column 1 in the following table and, in relation to which, the pathology service originally requested was an item in the pathology services table that is mentioned in column 2 of the following table:

Pathology service	Originally requested service
72846, 72847, 72848	72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72830, 72836
73059, 73060, 73061	73045, 73047, 73049, 73051
72851, 72852	72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72830, 72836
73305	73300